meningitisMore like Zika Virus (Same a. aegypti vector) since it says she has rash associated to her bone and muscle pain. I had Zika one time (i live in Puerto Rico).
Remember also dengue and Zika are Flavivirus. Dengue can cause hemolysis (hemorrhagic), and Zika is associated with Guillen Barre and fetal abnormalities.+62019-06-04T21:44:35Z
nala_ulaI'm shocked that I found a fellow puerto rican on this site! Good luck on your test!+2019-06-17T00:55:13Z
namiradont be shocked! me too! exito!+12019-06-22T23:08:12Z
dr_jan_itorI was thinking that its Murine typhus transmitted by fleas+2019-08-02T18:27:35Z
moniqueI would say this is more likely scenario of either Dengue or Chikungunya, not Zika virus. Excruciating pain is common in those, not in Zika. Zika has milder symptoms of those three infection.+2019-11-18T05:44:30Z
jakeperaltaCan confirm that Chikungunya's arthralgia is pretty horrible, from personal experience.+2019-11-29T15:27:44Z
thomasaltermanDengue is an arbovirus. The important hints are that she was traveling in endemic (tropical) and that she has **excruciating pain in the joints and muscles**. This is why dengue is aka "break-bone fever"+2019-05-28T17:39:52Z